Mvny Partners IV, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MVNY PARTNERS IV, LLC

Doing business as

U.S. Renal Care Rome Dialysis

Practice address

91 Perimeter Rd
Rome, NY 13441-4018

Phone

(315) 334-4786

NPI assigned

Apr 15, 2022

Last updated

Apr 15, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas L Weinberg

Title

Chairman & President

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Rome Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Usrc Rome DialysisCCN 332856

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Chain

US Renal Care, Inc.

Dialysis stations

16

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Newco LLC

  dba U.S. Renal Care Bryan Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1578839080

  Member Of

  NPD member

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Charles J Eldredge, M.D.

  • Nephrology Physician
  • Utica, NY
  • NPI 1215989322

  Dialysis facility

  Care Compare affiliation Name & address match
• Ahmad Mian

  • Nephrology Physician
  • Utica, NY
  • NPI 1548346661

  Dialysis facility

  Care Compare affiliation Name & address match
• Emile Wassel, MD

  • Nephrology Physician
  • Utica, NY
  • NPI 1023047552

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1164165304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631725",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631725",
            "telephone_number": "315-334-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-334-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVNY PARTNERS IV, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN & PRESIDENT",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Rome Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Patrick Mullin, LCSW-R, CT
• Thomas L Murphy, REGISTERED SOCIAL WO
• Megan Louise Murrin, LCSW
• Janette Lee Muttillo, CCC/MS/SLP/NYS
• Richard John Mutty, M.D.
• Damion Anthony Myers, DDS
• Kent A Myers
• Jenna Marie Narolis, PT, DPT
• Ahmed Nawaz, MD
• Emmanuel G Nebab, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rome, NY
• Providers in Rome, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.